Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $205.35 / $205.35 / $205.35	Facility		$205.35	$205.35	$205.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.35 / $205.35 / $233.31	Professional		$205.35	$205.35	$233.31
CareSource Facility/Professional Facility Modifier Low / Median / High Price $272.20 / $565.37 / $753.82	Facility		$272.20	$565.37	$753.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $293.14 / $502.55	Professional		$272.20	$293.14	$502.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.20 / $327.20 / $545.54	Facility		$327.20	$327.20	$545.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $238.86 / $327.20 / $2,286.56	Professional		$238.86	$327.20	$2,286.56
United Facility/Professional Facility Modifier Low / Median / High Price $276.08 / $276.08 / $276.08	Facility		$276.08	$276.08	$276.08
United Facility/Professional Professional Modifier Low / Median / High Price $204.57 / $291.86 / $348.21	Professional		$204.57	$291.86	$348.21